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MANTECA URGENT CARE, INC
NPI 1780107888
Family Medicine in Manteca, CA

Active since July 20, 2017CLIA 05D2135983 · Waiver
241 W YOSEMITE AVE, MANTECA, CA 95336(209) 239-0320(209) 239-0321 Get Directions Write a Review

NPPES record last updated: October 26, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 26, 2017, Aug 21, 2017, Jul 20, 2017 (3 updates tracked since 2017).

About Manteca Urgent Care, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANTECA URGENT CARE, INC (NPI 1780107888) is a healthcare organization registered as a family medicine in Manteca, California and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Min Wu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780107888
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMANTECA URGENT CARE, INC
Location Address241 W YOSEMITE AVEManteca, CA 95336-5603
Mailing AddressPo Box 2906Turlock, CA 95381-2906 · (209) 585-1066
Phone(209) 239-0320
Fax(209) 239-0321
Organization SubpartNo
Authorized OfficialMin WuCeo · (209) 585-1066
Enumeration DateJuly 20, 2017
Last NPPES UpdateOctober 26, 20173 updates tracked since enumeration
✔ NPI 1780107888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A89677
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
241 W YOSEMITE AVE, Manteca, CA 95336
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manteca Urgent Care, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Manteca Urgent Care, Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Susan Le, MD
Family Practice
NPI 1073691572
2010 COLORADO AVE
Turlock, CA 95382
(209) 667-1718
✔ PECOS✔ Accepts Medicare29 mi
Min Wu, MD
Family Practice
NPI 1063590560
2010 COLORADO AVE
Turlock, CA 95382
(209) 667-1718
✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2135983

Manteca Urgent Care · Manteca, CA
Active · expires Aug 29, 2027
CLIA Number05D2135983
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorMin Wu
Laboratory Phone(209) 239-0320
Laboratory LocationManteca Urgent Care241 W Yosemite Ave, Manteca, CA 95336
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manteca Urgent Care, Inc's NPI number?

The NPI number for Manteca Urgent Care, Inc is 1780107888. It was assigned to this organization in the NPPES registry on July 20, 2017.

Where is Manteca Urgent Care, Inc located?

Manteca Urgent Care, Inc is located at 241 W Yosemite Ave, Manteca, CA 95336. The listed phone number is (209) 239-0320.

What is Manteca Urgent Care, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Manteca Urgent Care, Inc enrolled in Medicare?

Yes. Manteca Urgent Care, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Manteca Urgent Care, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Manteca Urgent Care, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Manteca Urgent Care, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2135983) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Manteca Urgent Care, Inc was last updated on October 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.